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As soon as a woman begins to feel the first changes in the body, as soon as the pregnancy is confirmed by a test, it brings a whole bunch of different emotions. And if the pregnancy is desired, the woman tries in every way to save her tiny embryo from various negative factors. But doctors do not advise to rush to conclusions ahead of time. To confirm pregnancy, the first thing you need to do an ultrasound. It will help determine the place of attachment of the ovum. But it so happens that a woman learns the terrible news - there is no fetal egg in the uterus. This suggests that it was attached in another, not intended for this place. Unfortunately, this situation does not give positive forecasts.It is impossible to endure such a pregnancy, but it is not the most dangerous. Here we are talking about the health and life of a woman. If ectopic pregnancy is not recognized in time, it can lead to irreparable consequences.
What is ectopic pregnancy
Normally, pregnancy develops as follows. From the ovaries during the ovulation period, the ovum leaves, ready for fertilization. If during this period spermatozoa enter the cervix, they begin to move towards the egg cell. Fertilization usually occurs in the fallopian tube, after which the zygote (fertilized egg) begins to move toward the uterus. This is helped by special villi of the chorion, which roll the future embryo into the uterine cavity with small fibers. After all, there are all the conditions for the development of pregnancy. As soon as the fertilized egg enters the uterus, it attaches. This is how a healthy pregnancy develops. But if something goes wrong, the fertilized egg can be attached in other, not intended for this places.
- Tubal pregnancy. Almost always, ectopic pregnancy is tubal. That is, the fertilized egg is attached to the inner wall of the fallopian tube.In this case, the fertilized egg just does not come out of the tube or out, and then again falls into it. If the fertilized egg is fixed in the tube, it can be very dangerous, because the tissue of the tube is not as elastic as the ovaries and uterus. Therefore, as the embryo grows, the tube quickly breaks.
- Ovarian pregnancy. If fertilization does not occur in the tube, but also in the ovary, the fertilized egg, as a rule, is immediately attached in the same place. In this case, making the correct diagnosis is complicated by diagnosis. In the picture through the ultrasound machine, many doctors confuse ovarian pregnancy with cystic induration in the ovary, which requires different treatment tactics.
- Cervical pregnancy. This is one of the most dangerous types of ectopic pregnancy. In this case, the zygote enters the uterus, but is not fixed there, but slides down to its neck. If an ectopic pregnancy is not recognized in time, the fertilized egg can, due to its rapid growth, break the adjacent tissues. And if it is a pipe, then it is removed completely, but the woman has a second pipe and she still has a chance to become a mother. But if the fetal egg breaks the cervix to save a woman, the whole uterus has to be removed. This makes it impossible for her to give birth again.
- Abdominal pregnancy. When the fertilized egg does not fall into the uterus, and is located behind the peritoneum, this is also considered a pathology, because there are no conditions for the survival of the embryo.
Ectopic pregnancy is an absolute indication for its termination, and an emergency one. In scientific medical practice there are several world cases where a woman with the help of doctors managed to carry the fetus in the abdominal cavity or in the ovary. But such children are usually premature, weak, they have a high risk of various pathologies. How to avoid a similar development of events and recognize an ectopic pregnancy in time?
Signs of ectopic pregnancy in the early stages
An ectopic pregnancy has the same symptoms and signs as a healthy one - a woman feels a hemming and breast enlargement, her menstrual bleeding is delayed, toxicosis appears in the form of intolerance of smells and some dishes. A woman's mood changes, she becomes whiny or irritated - in general, everything is as usual. But are there any signs that can tell you aboutthat pregnancy is not normal? How to recognize ectopic pregnancy on the first symptoms?
- Test. The first thing you need to do a pregnancy test, and not one, but several. For example, with a healthy pregnancy, the level of hCG in the body increases exponentially. That is, if you do the test every day or even twice a day, the second bar will be more and more noticeable each time. If in the dynamics of the second strip does not become brighter, but remains pale or completely disappeared - most likely, you have an ectopic pregnancy. This is one of the most obvious and reliable signs. Instead of the test, you can donate blood for hCG in the laboratory. In this case, the dynamics of the increase in the hormone will be even more evident.
- Bloody issues. Another sign of ectopic pregnancy is uncharacteristic discharge. With a healthy pregnancy, there may be slight bleeding, no more than a few drops, the color is usually brown. This may indicate attachment of the ovum to the uterus. But if there is a lot of blood, it has a scarlet or brown color, if the discharge is more than three drops, but less than during normal menstruation, this is most likely an ectopic pregnancy.Remember that blood in ectopic pregnancy may not be, if the fertilized egg is fixed in the peritoneum.
- Pain. Of course, the stomach can hurt even during physiological pregnancy, if there is a threat of miscarriage. But sharp and sharp pain most often indicates ectopic pregnancy. If the fertilized egg stuck in the tube, the woman feels tingling on one side of the abdomen, the pain is similar to colic. The pain of an ectopic pregnancy increases when walking, getting out of bed, when rising from a chair.
- Malaise. All pregnant women have insignificant weakness and weakness - this is normal. But if your condition really worsens, there should be no doubt - you have an ectopic pregnancy. In this case, the woman usually lies without strength, her blood pressure may fall due to internal bleeding. If the blood loss is large, it can lead to dizziness and fainting. High fever, malaise, chills - all this indicates the need for urgent medical care.
A woman who already has one child, as a rule, quickly recognizes an ectopic pregnancy, because she has something to compare with.But even if you are pregnant for the first time, you need to carefully listen to your body. It is better to go to the doctor once again and confirm that everything is normal than to have dangerous consequences and complications.
Why an ectopic pregnancy occurs
To this question, doctors still can not give a definite answer. Ectopic pregnancy often develops in women who have already had any problems with the work of the reproductive system, but sometimes such a pregnancy occurs in an absolutely healthy woman. Here are some factors that can trigger the attachment of the ovum in the wrong place.
- Inflammatory processes. In any inflammatory processes, the mucosa of the internal female organs changes its structure. This affects the work of the chorionic villi, which cannot roll the egg of egg to the uterus and attach it where necessary. Often, inflammatory processes lead to blockage and obstruction of the fallopian tubes.
- Individual characteristics. Some women have an anatomical feature of the fallopian tubes - they may be too long, twisting, curved.In this case, the fertilized egg simply can not overcome a long and difficult path, as a result is attached in the tube.
- Spikes. If the women had a history of surgery, this can lead to adhesions - small seals in the tube structure, which simply do not allow the egg to enter the uterus.
- Hormones. All processes in the body are controlled by hormones. If their balance is disturbed, the process of moving the ovum to the uterus also stops. Hormones regulate the villi that push the egg to the uterus.
- Tumors. If there are tumors of various origins in the uterus, ovaries or tube, this often becomes a physical obstacle in the path of the gestational sac.
In some cases, the risk factor for the appearance of ectopic pregnancy can be a long-term use of oral contraceptives or the use of strong disposable contraceptives, which are taken after intercourse (by type of Escapel and Postinor).
Ectopic pregnancy - diagnosis and prognosis
If you suspect you have an ectopic pregnancy, you should see a doctor as soon as possible.As a rule, if the term is very short, then it is difficult to determine the location of the ovum by ultrasound. At this stage, the dynamics of changes in the hormone hCG and progesterone are observed. With a shortage or weak dynamics of these hormones, doctors suggest ectopic or frozen pregnancy. Already at 4-5 weeks of pregnancy, you can locate the ovum. If it is not in the uterus, the doctor continues to look for it in the ovaries, tube, neck and peritoneum.
Ectopic pregnancy is not a sentence.In 85% of cases, a woman after such a pathology again becomes pregnant and bears a healthy baby. Pregnancy and the birth of a child - a responsible matter, which must be approached with the utmost seriousness. Be sure to get ready for conception, check the body for hidden infections and inflammatory processes. And then you can reduce the risk of developing various pathologies in yourself and your future baby. After all, every woman has the right to become a mother and breathe in the sweet smell of her baby!
Video: ectopic pregnancy
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